Transcription of LIFE CARE planning - Kaiser Permanente
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LIFE CARE planning - Kaiser Permanente
advance health care DirectiveLIFE care planningmy values, my choices, my name: Medical Record #: IntroductionThis advance health care directive allows you to share your values, your choices, and your instructions about your future health care . This form may be used to: Name someone you trust to make health care decisions for you (your health care agent), OR Provide written instructions about your future health care , OR Both name a health care agent AND provide written instructions for future health 1 allows you to name a health care 2 gives you an opportunity to share your values and what is important to 3 allows you to give written instructions about your future health care . Part 4 allows you to guide your agent s decision making by stating your hopes and 5 allows you to make your advance health care directive legally valid in the State of 6 prepares you to share your wishes and this document with are free to modify this form or use a different form.
This Advance Health Care Directive allows you to share your values, your choices, and your instructions about your future health care. This form may be used to: • Name someone you trust to make health care decisions for you (your health care agent), OR ... Life Care Planning - my values, my choices, my care ...
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